MEDICARE: DR. LARRY D CARTER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	S353TA002	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	580002701	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	59414	OTHER	AL	BCBS OF ALABAMA

General Provider Information

NPI Number	:	1518949205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY D CARTER O.D.

Provider Business Mailing Address
First Line	:	PO BOX 1807
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-1807
Country	:	US
Telephone Number	:	205-921-7426
Fax Number	:	205-921-7589

Provider Business Practice Location Address
First Line	:	1925 MILITARY ST S
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-6611
Country	:	US
Telephone Number	:	205-921-7426
Fax Number	:	205-921-7589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	02/27/2013

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